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HomeMy WebLinkAbout2307 Montadale Ct - Applications/Addition or Alteration - 03/01/2007BUILDING PERMITS & INSPECTIONS DIVISION P.O. Box 580 • Fort Collins, CO 80522-0580 • Phone: 221-6760 www.fcgov.com/building City of Fort Collins BUILDING PERMIT APPLICATION APPLICATION NUMBER lJ ( APPLICATION DATE — 0 /. Job Site Address 2307 %!or> ��% �tf • Unit # PROPERTY OWNER INFO: (All owner information is required - it is not optional) Phone # -<1�2 Last Name SCo t-6 First Name 00r Middle Street Address ,239 % I'40-i -6 6!g /c C--L. City jf::�tt State C)i:;' Zip 86-S' Z(v CONTRACTOR INFO: Company Name /des •krc-/ Contractor Phone # .?2 Lic. Holder Name Dwei Se City of FortCollins License # L ' 6(:2 Supervisor Cert # 2 0 64P Mailing Address 2,30? Mc-1 &;c4k CAL • City I • C-0/1"^s State C0 Zip / Z6p LEGAL INFO: ?1NS 504.+4 y r � + ©F IrrFZ3 G Subdivision/PUD ilnn rolv,n h2crw Filing # Lot #� Block # Lot Sq Ft �� 9 CONSTRUCTION INFO: Total Building Sq Ft (not including basement) _ Total Garage Sq Ft Residential Sq Ft Comm'I Sq Ft # of Stories Bldg Height # Dwelling Units 1st Floor Sq Ft 2nd Floor Sq Ft ,300 Unfinished Bsmt Sq Ft Finished Bsmt Sq Ft # of Bedrooms # of Full Baths 3/4 Baths '/z Baths # of Fireplaces Air Conditioning: Yes No 3. ResCheck w/Blower Door City of Fort Collins Stock Plan # UTILITIES INFO: Energy info: (Circle appropriate choice) 1. ComCheck 2. ResCheck w/Air Sealing 4. E-Star w/Blower Door 5. Prescriptive w/Air Sealing 6. Prescriptive w/Blower Door Water Tap Size Sewer Tap Size List appropriate option #s mil' Metered: Yes or No Temp. Pedestal: Yes or No Type of Heat: ❑ Gas ❑ Electric Electric Main Breaker Size (Residential only): ❑ 150 Amp or Less ❑ 200 Amp ❑ Other Value of Construction (including labor, material /& profit) $_ Description of Work: dclo' I # o n Ene-1,>so ID f 0,-0 , br,: /d s oi- ,�? -76-j .R " — Hard one bedr-�o^-n . eY►la,.,e mgs4er Contact Name & Phone # of JOBSITE SUPERVISOR: 00Yt S&O J�t Subcontractor Info: Electrical /•Igzrkg'vac. i-1e� r.'t Mechanical Plumbing Framer Roofing Concrete Other Applicant: I hereby acknowledge that I have read this application and state that the above information is correct and agree to comply with all requirements contained herein and Ci�(y'�5{�� Fort Collins or iinanc�ess and state laws regulating building construction. Applicant Sign�e- Y Print Name Dc"' Sca tL- Phone 2,7 Y - J d 2-2 Distribution: White - Office Yellow -Applicant Pink - WWW/Stormwater THIS APPLICATION EXPIRES 90 DAYS FROM APPLICATION DATE